| Autor: |
Shin Mei Chan, BS, Anand Brahmandam, MD, Jonathan A. Cardella, MD, John Elefteriades, MD, John F. Setaro, MD, Abeel A. Mangi, MD, MBA, Cassius Iyad Ochoa Chaar, MD, MS |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Journal of Vascular Surgery Cases and Innovative Techniques, Vol 7, Iss 3, Pp 404-407 (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2468-4287 |
| DOI: |
10.1016/j.jvscit.2021.05.009 |
| Popis: |
Aortic remodeling after dissection is poorly understood and remains a focus of current research. In the present report, we have described the cases of two patients with acute lower extremity ischemia related to malperfusion from aortic dissection treated with extra-anatomic axillobifemoral bypass. During long-term follow-up, aortic remodeling led to reinstitution of flow through the native aorta. This resulted in competitive flow, leading to complete thrombosis of the extra-anatomic conduits. These cases highlight the occurrence of spontaneous aortic recanalization and subsequent competitive flow, two vascular phenomena that are not well understood but can significantly affect patient outcomes. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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